After several days in traction, the patient has a long leg fiberglass cast applied to his left leg. Before the patient is discharged, the nurse should instruct the patient on which of the following?

"Be sure to keep your cast dry."

Explanation

• Discharge teaching for a patient going home with a cast requires detailed instruction regarding cast care. It is important to instruct the patient to keep his cast dry. Cover with a plastic bag to shower. No swimming is allowed.

• Keeping the cast intact and dry are important for the integrity of the cast and healing of the fracture.

Incorrect options:

• Remind children that autographs are not allowed on this type of cast because fiberglass is a porous material.

• Be certain that the child knows not to put anything inside the cast. If itching occurs inside the cast, blowing some cool air into it from a hair dryer can be comforting.

• Damage to the cast should be reported, not repaired with tape.

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